Description of the Procedure

There are two methods for meniscectomy. The more common procedure is called arthroscopy. Arthrotomy, an open technique, is rarely used. This may also be referred to as an open meniscectomy.

Arthroscopy

Small incisions are made around the knee. Special tools are inserted into the knee joint. A tiny camera will provide a view of the inside of the knee. The damaged meniscus is either repaired or removed. The doctor will remove as little cartilage as possible. A drain may be inserted to drain away fluid. The incisions are closed with stitches. The stitches are usually removed in the doctor's office one week later.

Arthrotomy

A larger incision is made over the knee joint. The meniscus is then either repaired or removed. The incision is closed with stitches. It usually results in a longer recovery period. This process is usually done when there are problems with the knee that make the arthroscopic procedure difficult.

How Long Will It Take?

The procedure usually takes less than one hour.

How Much Will It Hurt?

Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.

Post-procedure Care

At the Care Center

Right after the procedure, the staff will monitor your recovery. The staff may give you:

Pain medication

Antibiotics to prevent infection

Medication that prevents blood clots

At Home

Use compression and ice for 48-72 hours after surgery. This will help reduce swelling.

Elevate legs often while resting in bed.

Use crutches
or knee splint as directed by your doctor.

Do exercises as recommended. You may start with simple thigh muscle exercises the day after surgery. More strengthening exercises will be added later.

Take pain medications and all other prescribed medications as recommended by your doctor.

Ask your doctor about when it is safe to shower, bathe, or soak in water.

Be sure to follow your doctor’s
instructions
.

If the meniscus was removed, it generally takes 3-6 weeks to return to full activities.

If the cartilage was repaired, it can take up to four months for full recovery. The goal of the first week is to reduce pain and swelling. After this, the goals are to increase range of motion and weight-bearing. Physical therapy is often done several times a week for four weeks or more. At 6-8 weeks, low impact activities can often be added. This will help to prepare you to return to sports or activities. Running, cutting, and rotation are avoided for at least 16 weeks.

Call Your Doctor

Call your doctor if any of the following occurs:

Signs of infection, including fever and chills

Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site

Pain, redness, or swelling in either calf

Pain that you cannot control with the medications you have been given

Nausea and vomiting

Swollen, discolored, or cold toes

Cough, shortness of breath, or chest pain

New or worsening symptoms

If you think you have an emergency, call for medical help right away.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.